8/20/2019 paeds short answer questions

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MBBS FINAL PROFESSIONAL

MODEL PAPER FOR ANNUAL 2009

P a e d i a t r i c s( Sh o r t Es s a y Qu e s t i o n s)

Max. Marks 50 Time Allowed 2 hours and 15 minutes

1. A 10-years old boy presents with bilateral painless neck swelling for last 3months. On examination there is bilateral cervical and axillary lymphnode enlargement. These lymph nodes are 2-3 cm in size, discrete,non- tender and rubbery. Chest X-ray shows mediastinal mass.a) What is the most likely diagnosis?b) How will you investigate?

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2. A 4 month old boy is brought to OPD for not gaining weight. He isexclusively breast fed and mother tells that he sweats profusely whiletaking feed. He was treated for bronchopneumonia at 2 months of age.On examination his weight is 4 Kg, pale looking irritable child with arespiratory rate of 45/min and heart rate 140/min. There is a Grade IIIpan-systolic murmur at the left lower sternal border with loud 2 nd heartsound at pulmonary area.a) What is the diagnosis?b) How will you investigate?c) Enlist THREE complications of this condition.

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3. A two year old child is brought to ER with Cyanosis and dyspnoea of onehour duration.He had recurrent such episodes for the last six months. Onexamination he is deeply cyanosed, extremely irritable and tachypnoeiacwith finger-clubbing. There is an ejection systolic murmur at thepulmonary area.a) What is the most likely diagnosis?b) Give emergency management.c) Give steps of long term management.

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4. A six months old child presents to emergency room with fever, cough anddyspnoea of 3 days duration. On examination he is febrile, pulse is110/min and respiratory rate 60/min with no chest indrawings.a) How will you classify his disease according to (WHO) ARI

classification?b) Give steps of management.

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5. A 2-years old girl is brought to you with complaints of diarrhea and failingto thrive since 8 months of age. She was weaned from breast feeding andstarted on solid at 7 th month of life. She passes 8 –10 stools daily whichare bulky, offensive and sticky. On examination weight is 8 kg(

8/20/2019 paeds short answer questions

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6. An 8-years old child presents with pain abdomen, vomiting anddeteriorating conscious level of one day duration. He has been drinkingexcessive water for the last one week. On examination he is dehydratedwith respiratory rate of 40/min and Glasgow coma scale 10.a) What is the most likely diagnosis?b) How will you investigate?c) How will you manage?

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7. An 8-years old girl is brought to ER with continuous generalized tonicclonic seizure for last one hour. On examination she is afebrile,convulsing with frothing from mouth and had also passed urine. Mothertold that she had similar three episodes during last 6 months.a) What is the diagnosis?b) Give emergency and long term management.

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8. A 3 years old, unvaccinated boy presents with low grade fever andlethargy for last 15 days. Last night he had an episode of tonic clonic

seizure followed by right sided weakness. His grandfather is sufferingfrom chronic cough for last 2 years. On examination he is having uppermotor neuron paralysis on right side of the body.a) What is the most likely diagnosis?b) How will you investigate him?c) Briefly outline management of this child.

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9. A 5 years old girl presents with generalized body swelling starting firstfrom periorbital region. On examination there is generalized edema,BP = 110/60 mm of Hg. Urine analysis reveals + 4 proteinuria.a) How will you further investigate her?b) Describe steps of management.

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10. a) Write down EPI schedule of immunizationb) Enlist THREE live vaccines included in EPI schedule.

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